4.3 Article

Postgastrectomy Syndromes and Nutritional Considerations Following Gastric Surgery

Journal

SURGICAL CLINICS OF NORTH AMERICA
Volume 97, Issue 2, Pages 277-+

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.suc.2016.11.005

Keywords

Postgastrectomy syndromes; Nutritional deficiencies; Dumping; Bile reflux; Roux-en-Y

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Postgastrectomy syndromes result from altered form and function of the stomach. Gastrectomy disrupts reservoir capacity, mechanical digestion and gastric emptying. Early recognition of symptoms with prompt evaluation and treatment is essential. Many syndromes resolve with minimal intervention or dietary modifications. Re-operation is not common but often warranted for afferent and efferent loop syndromes and bile reflux gastritis. Preoperative nutritional assessment and treatment of common vitamin and mineral deficiencies after gastrectomy can reduce the incidence of chronic complications. An integrated team approach to risk assessment, patient education, and postoperative management is critical to optimal care of patients with gastric cancer.

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